The present invention is directed to a tamper evident shield for a closure of a container. The shield is specifically, but not exclusively, structured to enclose an additive port closure of an IV bag.
In numerous medical care facilities, it is common practice to administer various medications to a patient either orally or by injection. As a result, a number of syringes, IV bags, medication carrying containers, etc. may be pre-loaded within or supplied to the medical care facility and subsequently stored at different locations or stations throughout the facility. At large medical facilities, preloaded syringes or other administering containers may be delivered to multiple nurses' stations. Because of the remote location of many nurse's stations, a pre-loaded syringe is very often given to other personnel for delivery or subsequent dosing of the patient by a duly qualified nurse or other medically trained person.
Also, in the case of a very expensive drug or an addictive type drug such as, but not limited to, morphine, there is a danger that the pre-loaded container will be tampered with at some point, by a person seeking to improperly gain unauthorized access to the drug. This possibility can present real danger when unauthorized access to the contents of the preloaded syringe, IV bag or other container is accomplished. One possible outcome of such a situation includes the inappropriate substitution of some other, unauthorized material in the syringe or container. By way of an example only, if saline solution were substituted for a dose of morphine, this could have extremely serious consequences. Thus, there is a problem of determining if a sealed, preloaded medication container has, or has not, been exposed to contamination or might otherwise have been compromised by it being tampered with. This and related types of problems have been described in one of the inventors herein own previously granted U.S. Pat. No. 4,667,837.
However, certain problems remain in the relevant field of art, despite the introduction of products represented in the above noted patent. Such problems are related to the manufacturing thereof in a manner which is relatively easy and inexpensive, as well as some problems involved with the assembly and placement of a protective, tamper evident structure onto a drug loaded container. Also, additional problems relate to the maintenance of sterility during storage at the manufacturing facility and during transport to and throughout the various medical facilities where they are used. Accordingly, the present invention seeks to address such problems and others associated with the handling of protective shields, end caps, closures, etc. used with medication administering or storage containers during their manufacture, assembly, and administration.
Therefore, there is a need in this area for an improved, tamper evident shield which is capable of being used with standard or conventional pre-loaded medical administering and/or storage containers in a manner which overcomes problems and or disadvantages of the type set forth above. If any such improved tamper evident shield was developed, it would preferably have appropriate and advantageous structural and operative features, which could include, but are not be limited to, an integral or one-piece construction which facilitates appropriate connection to or mounting on a preloaded medication container. In addition, if any such improved and proposed tamper evident shield were developed, it would preferably also be structured to provide a clear and unmistakable indication of tampering or previous attempted access to the contents of the medical container.
Further, the structuring of any such proposed tamper evident shield should prevent the opening thereof, thereby restricting access to a conventional or customized closure secured to the port of the medical container. Any such preventive, tamper evident structuring may require partial destruction of the shield or perhaps a complete destruction of it to provide clear evidence of an attempted tampering. Finally, if any such improved tamper evident shield were developed, it should be structurally and operatively reliable, while capable of quick and easy attachment thereof in a shielding, protecting position relative to the closure operatively associated with the port of the medical container.
The present invention is directed to a shield including a housing which is fixedly disposable in surrounding, access restricting relation to a closure of the type connected in flow restricting relation to a flow port of a medical container. As used herein, the term “closure” is meant to be interpreted broadly. Therefore, “closure” is meant to include any of a plurality of stoppers, closing devices and/or flow restricting structures intended, at least initially, to restrict access to the interior of a corresponding container or flow port thereof.
Moreover, in hospital pharmacies and outsourced pharmacy compounding facilities, IV bag preparations are becoming more and more common. Also, there is a significant increase in different manufacturers entering the market and producing various types of IV bags and closures therefore. While the IV tube set connections for the ports are standardized, the medication port or additive port thereof varies in size, shape and material. Additive port caps or closures provide tamper evidence and visual indication to the clinician that indicates whether or not medication has been added to the IV bag. Currently, these additive port closures are specifically designed to be compatible with a single brand of bags using the same additive port design.
To overcome problems associated therewith, the present invention is directed to a shield having a robust dimension, configuration and overall structure that is compatible with any brand of IV bag and their various additive port designs and closure structures. Further, the shield of the present invention is structured to include tamper evident capabilities.
In a more specific terms, the shield of the present invention includes a housing comprising two housing segments hinged or pivotally connected together along correspondingly disposed longitudinal sides. As such, the housing segments are selectively disposable between an open orientation and a closed orientation. The hinged connection between two housing segments may include, but is not limited to, a “living hinge”. Further, each of the housing segments includes an at least partially hollow interior which, when the housing segments are in the closed orientation, define the substantially hollow interior of the housing. When the housing is operatively attached in enclosing retaining relation to the flow restricting closure of an IV bag or other medical container, the closure is captured therein.
As explained in greater detail hereinafter, tamper evident features of the shield are at least partially demonstrated by preventing the removal of the shield from its surrounding protective position relative to the closure. More specifically, once the shield is forcibly removed from the port of the IV bag or other container, the closure will also be removed from the container port and be captured within the interior of the housing in a non-accessible location. As a result, the closure cannot be accessed for reattachment to the medical device. Therefore, in at least one embodiment, once the two housing segments are disposed in the closed orientation the provision of a lock assembly in cooperation with a latch assembly will prevent a separation of the two housing segments into an open orientation. The removal of the closure from the interior of the housing will thereby be prevented unless a breakage, rupture, or other type destruction of all or part of the housing is accomplished.
It is also of note that the housing segments and other portions of the housing are formed of a sufficiently high strength plastic material to resist breakage, rupture, puncture, cutting, etc. Also, such high strength plastic material is at least minimally flexible. Therefore, the destruction or damage required to open the housing and/or separate the housing segments will be sufficiently severe to prevent reconnection of the two housing segments in the closed orientation. As a result, the opening of or access to the container port, in an attempt to access the contents of the container cannot be accomplished without forced removal of the shield from the closure and additive port thereof. This in turn will result in the capture of the closure within the housing, as the housing is removed from the port of the container. As set forth above, the removal of the shield/housing will result in a concurrent removal of the closure and the capturing of the closure within the housing in a non-accessible location. Accordingly, clear evidence of tampering or attempted access to the container contents and/or closure will be evident.
As indicated, the housing of the shield includes a lock assembly, operative to fixedly secure the two housing segments in the closed orientation, on a permanent basis, absent destruction or damage to the housing of the shield. The lock assembly is at least partially connected to each of the housing segments within the corresponding hollow interiors thereof. Therefore, the lock assembly is disposed in a non-accessible location within the interior of the housing, when the housing segments are in the closed orientation. As used herein, the term “fixedly secured” and its equivalent is meant to describe the permanent attachment or connection of the housing segments to one another in the closed orientation, wherein opening of the closure can only be accomplished by the described damage or at least partial destruction of the housing. Due to this “fixedly secured” feature of the lock assembly and the permanent disposition of the housing segments in the closed orientation, access to the lock assembly for the purpose of “unlocking” it, will be significantly restricted. Any attempt to open or separate the housing segments in order to access the lock assembly, once fixedly secured in the closed orientation, will result in the complete or partial destruction of the housing, as set forth above, and render it inoperative for further use or reuse.
Structural and operative features of the lock assembly include the provision of a first lock member and a second lock member each connected on the interior of different ones of the two housing segments and extending at least partially outward therefrom. Moreover, each of the first and second lock members is movable with their respective housing segments between the open and closed orientations. Further, the first and second lock members are disposed in cooperative, but at least partially offset alignment with one another, relative to the length of the housing and the corresponding housing segments. Such an offset alignment, once disposed in the closed orientation, will result in the disposition of the first and second lock members into a coaxially aligned, locking engagement, wherein corresponding surfaces thereof may be disposed in confronting relation to one another.
As explained in greater detail hereinafter, when the housing is in the closed orientation it includes one open end, or access opening, as well as an oppositely disposed closed end. The closed end of the housing is at least partially defined by a base connected to one of the housing segments. As such, the base also at least partially defines a closed-end of the housing segment to which it is attached. Further, when the housing segments are in the closed orientation the base is disposed, dimensioned and configured to overlie or cover a corresponding end of the other housing segment, to which it is not attached. In addition, the base is cooperatively disposed and structured with the lock assembly to provide a stabilizing influence thereon, when the housing segments are in the closed orientation.
More specifically, in at least one preferred embodiment the base and the first lock member are fixedly connected to a common one of the housing segments such that a predetermined axial/longitudinal space exists therebetween. The second lock member is connected to the other of the housing segments and when the housing segments are moved into the closed orientation, the second lock member passes into the predetermined space between the base and the first lock member. This predetermined space is cooperatively and/or correspondingly dimensioned relative to the thickness of the second lock member to facilitate the receipt of the second lock member within the predetermined space as the housing segments move into the closed orientation. As a result, the second lock member is concurrently disposed in locking engagement and/or connection with the first lock member and in substantially stabilized, possibly confronting relation with and between both the base and the first lock member.
Therefore, due to the cooperative dimensioning of the predetermined space and the thickness of the second lock member, stabilization of the second lock member can be accurately described as preventing or at least restricting movement of the second lock member, when disposed within the predetermined space. As a result of such stabilization and/or restricted movement of the second lock member within the predetermined space, inadvertent or purposeful disconnection of the aforementioned locking connection or locking engagement between the first and second lock members, will be restricted. In addition, the restricted movement of the second lock member within the predetermined space will also facilitate an accurate alignment between the two housing segments. In turn, portions of the aforementioned latch assembly will be accurately aligned to move into a latched orientation with one another, as the two housing segments move from the open orientation into the closed orientation.
In addition, the non-accessible location of the lock assembly on the interior of the housing is further enhanced by the location of the first and second lock members disposed in longitudinally spaced relation to the closed end or base of the housing, when in the closed orientation. Moreover, each of the first and second lock members are fixedly connected to the hollow interiors of different ones of the housing segments and are disposed and dimensioned to extend at least partially outward therefrom in transverse relation to the length of the corresponding housing segments and/or the longitudinal sides thereof.
Therefore, when the housing is in the closed orientation, the open end of each of the housing segments collectively define the access opening of the housing. The access opening is dimensioned and disposed to receive the container port while the container port is disposed at least partially within the interior of the housing in attached relation to the port closure. As should be apparent, the hinged or pivotal connection between the housing segments, define a “clamshell” configuration/structure, which facilitates the container port and attached closure being inserted within the interior of the housing, while the housing segments are in the open orientation. When so inserted, disposition of the housing segments in the closed orientation will result in capture of the closure within the housing and an at least partially concurrent enclosure of the container port, to which the closure is attached.
The structural features of the housing also include a retaining assembly disposed at least partially within the hollow interior of at least one of the housing segments but preferably and possibly more practically within the hollow interiors of both of the two housing segments. As such, the retaining assembly includes at least one but preferably at least two retaining flanges or flange segments. Each of the at least two retaining flanges is integrally or otherwise fixedly secured to the interior surface of the hollow interior of different ones of the housing segments. Further, in at least one embodiment, the retaining flanges extend transversely outward from the respective interior surfaces into aligned, substantially mating and/or co-planar, confronting relation to one another.
The dimension and configuration of the flange segments are such as to form a substantially central opening or aperture extending through the mated and/or confronting retaining flange segments. This retaining opening or aperture is dimensioned in accord with the dimension of the closure and/or port of the container connected to the closure being shielded. More specifically, once the two housing segments are disposed in the closed orientation, the closure is captured between the mating or confronting retaining flanges and an end of the housing opposite to the access opening.
Yet additional structural features of the two retaining flange include the inner peripheral edge thereof having an irregular surface configuration. This irregular surface configuration may be defined by a plurality of teeth extending along the length of the inner peripheral edge so as to be disposed in at least partially confronting relation to a corresponding portion of the container port, to which the closure is attached. The plurality of teeth or other irregular surface configuration may be structured to provide a gripping engagement and/or retaining relation with the container port. As such, a forced removal of the shield and/or housing would result in possible damage to the container port due to interaction with the plurality of teeth or other irregular surface configuration, as it extends along the inner peripheral edges of at least one but preferably both of the retaining flanges.
Therefore, the captured disposition of the closure, is at least partially accomplished by the retaining opening or aperture having a smaller transverse dimension or diameter than that of the closure. As a result, passage of the closure through the retaining aperture and out of the access opening of the housing, once the housing segments are in the closed orientation, is prevented. As a result, any attempt to remove the housing from the closure or container port to which it is attached, will result in a removal of the closure from the port of the container and the capture of the closure within the closed housing. As a result, the closure, once captured within the interior of the housing, will be non-accessible due to the two housing segments being fixedly secured in the closed orientation. This non-accessible disposition of the closure will also be due to one end of the housing being closed and the closure not being able to pass through the retaining opening or aperture in the retaining assembly.
Additional structural and operative features of one or more preferred embodiments of the shield include the provision of a latch assembly mounted on or connected to the free longitudinal sides of each of the two housing segments. As such, the latch assembly is at least partially disposed on the exterior of the housing and comprises one or more cooperatively structured latch structures, which serve to retain the two housing segments in the closed orientation. Accordingly, the shield may include both the interior, non-accessible lock assembly, as described above, as well as the provision of an additional latch assembly. Moreover, the latch assembly is structured to independently restrict opening or separation of the two housing segments into the open orientation once disposed in the closed orientation.
These and other objects, features and advantages of the present invention will become clearer when the drawings as well as the detailed description are taken into consideration.
For a fuller understanding of the nature of the present invention, reference should be had to the following detailed description taken in connection with the accompanying drawings in which:
Like reference numerals refer to like parts throughout the several views of the drawings.
As represented throughout the Figures, the present invention is directed to a shield 10 including a housing generally indicated as 12. As schematically represented in
More specifically, the housing 12 comprises two housing segments 14 and 16 movably connected to one another preferably by a “living hinge”, generally indicated as 18. As such, the two housing segments 14 and 16 are selectively disposable from an open orientation, as represented in
Each of the housing segments 14 and 16 include an open end 14′ and 16′ which collectively define an access opening 20 of the housing 12, when the housing segments 14 and 16 are in the closed orientation. Further, each of the housing segments 14 and 16 include an at least partially hollow interior 14″ and 16″, to define a hollow interior 12′ of the housing 12 when the housing segments 14 and 16 are in the closed orientation.
As also clearly represented, each of the housing segments 14 and 16 include a closed or at least partially obstructed end oppositely disposed to the respective open ends 14′ and 16′. More specifically, housing segment 14 includes a base 22 extending outwardly from the hollow interior 14″, in transverse relation to the length of the housing segment 14. Moreover, the base 22 is disposed, dimensioned and configured to be disposed in covering relation to the corresponding end 17 of the housing segment 16, which is opposed to the open end 16′ thereof. As such, the base 22 may be disposed to at least partially define a closed and of the housing 12 when the housing segments 14 and 16 are in the closed orientation. Therefore, the disposition of the base 22 in closing, covering and/or at least partially mating relation to the corresponding end 17 of the housing segment 16 can be accurately described as a closed end of the housing 12.
Another structural and operative feature of the housing 12 includes a lock assembly 25, operative to fixedly secure the two housing segments 14 and 16 in the closed orientation. As such, the housing segments 14 and 16 are fixedly secured on a permanent basis, absent destruction or damage to the housing 12. The lock assembly 25 comprises two lock members 26 and 28 each integrally or fixedly connected to the housing segments 14 and 16 respectively. Each of the lock members 26 and 28 are disposed within the corresponding hollow interiors 14′ and 16′ and extend transversely outward there from. Therefore, the lock assembly 25 is disposed in a non-accessible location within the interior of the housing 12, when the housing segments 14 and 16 are in the closed orientation. It will also be noted that second lock member 28 is disposed in covering relation to the end 17 of the housing segment 16 and may thereby define the closed end thereof.
Therefore, the substantially permanent attachment or fixedly secured relation of the housing segments 14 and 16 prevent the opening of the housing 12 without breakage, rupture, damage, or at least partial destruction of the housing 12. Due to this “fixedly secured” operative feature of the lock assembly 25 and the permanent disposition of the housing segments in the closed orientation, access to the lock assembly 25 for the purpose of “unlocking” it will be prevented or at least significantly restricted. Any attempt to open or separate the housing segments 14 and 16 in order to access the lock assembly 25, once fixedly secured in the closed orientation, will result in the complete or partial destruction of the housing, as set forth above, and render it inoperative for further use or reuse.
Also, in at least one preferred embodiment the base 22 and the first lock member 26 are fixedly connected to a common one of the housing segments 14 such that a predetermined axial/longitudinal space 30 exists therebetween. The second lock member 28, being connected to the other of the housing segments 16, passes into the predetermined space 30 between the base 22 and the first lock member 26, as at least partially represented in
As a result, such stabilization and/or restricted movement of the second lock member 28 within the predetermined space 30, will serve to prevent inadvertent or purposeful disconnection of the aforementioned locking connection or locking engagement between the first and second lock members 26 and 28. In addition, the restricted movement of the second lock member 28 within the aforementioned predetermined space 30 will also facilitate an accurate alignment between the two housing segments 14 and 16. In turn, portions of a latch assembly generally indicated 40 will be accurately aligned to move into a latched orientation with one another, as the two housing segments 14 and 16 move from the open orientation into the closed orientation, as described in greater detail hereinafter.
Additional structural features of the lock assembly 25 which facilitates the substantially permanent, fixed securement of the housing segments 14 and 16 with one another includes locking components 32 and 34 each integrally or fixedly formed, mounted or disposed on different ones of the first and second lock members 26 and 28. In more specific terms, locking component 32 is in the form of an opening, aperture, recess etc. formed in the first lock member 26. In cooperation therewith, the locking component 34 is in the form of an outwardly projecting member having a ramp configuration or construction 34′. The ramp construction 34′ and a remaining portion of the locking component 34 is cooperatively disposed, dimensioned and configured to be received in locking engagement within the opening or aperture of the locking component 32.
The ramp configuration/construction 34′ of the locking component 34 facilitates receipt and sliding engagement of the locking component 34 relative to the first lock member 26 and or the leading edge 26′ thereof, as the second lock member 28 passes into the predetermined space 30, as at least partially represented in
When the housing 12 is in the closed orientation, the open end 14′ and 16′ of each of the housing segments 14 and 16 collectively define the access opening 20 of the housing 12. The access opening 20 is dimensioned and disposed to receive the container port 200 (see
The structural features of the housing 12 also include a retaining assembly 50 disposed at least partially within the hollow interior of at least one of the housing segments 14 or 16. However, preferably and possibly more practically, the retaining assembly 50 will be disposed within the hollow interiors 14′ and 16′ of both of the two housing segments 14 and 16. As such, the retaining assembly 50 includes at least one but preferably at least two retaining flanges or flange segments 52 and 54. Each of the at least two retaining flanges 52 and 54 is integrally or otherwise fixedly secured to the interior surface of the hollow interior 14′ and 16′ of different ones of the housing segments 14 and 16. Further, the retaining flanges 52 and 54 extend transversely outward from the respective interior surfaces into aligned substantially mating and/or confronting and/or coplanar relation to one another, as at least partially represented in
The cooperative disposition, dimension and configuration of the flange segments 52 and 54 are such as to form a substantially annular or ring-like configuration including a central opening or aperture 55 extending through the mated and/or confronting retaining flange segments 52 and 54. The transverse dimension or dimension of the diameter of the retaining opening or aperture 55 is dependent on the corresponding dimension of the closure 100 and/or port 200. More specifically, once the two housing segments 14 and 16 are disposed in the closed orientation, the closure 100 is captured within the interior 12′ of the housing 12, between the mating or confronting retaining flanges 52 and 54 and the first lock member 26 and/or base 22.
Yet additional structural features of the two retaining flanges include the inner peripheral edge thereof having an irregular surface configuration, as at 56. This irregular surface configuration 56 may be defined by a plurality of teeth extending along at least a portion of the length of the inner peripheral edge 52′ and 54′. As such, the irregular surface configuration 56 is disposed in surrounding, retaining and possibly confronting relation to a corresponding portion of the container port 200, to which the closure 100 is attached. The plurality of teeth or other irregular surface configuration 56 may be disposed and structured to provide a gripping engagement with the container port 200. As such, a forced removal of the shield 10 and/or housing 12 would result in a possible damaging of the container port 200 due to engagement with the plurality of teeth or other irregular surface configuration 56.
As indicated, the captured disposition of the closure 100, is at least partially accomplished by the retaining opening or aperture 55 having a smaller transverse dimension or diameter than that of the closure 100. As a result, passage of the closure 100 through the retaining aperture 55 and out of the access opening 20 of the housing 12, once the housing segments 14 and 16 are in the closed orientation is prevented. As a result, removal of the housing 12 from the closure 100 or container port 200 will result in a removal of the closure 100 from the port 200 of the container and the capture of the closure 100 within the interior 12′ of the closed housing 12. Therefore, the closure 100, once captured within the interior of the housing 12′, will be non-accessible due to the two housing segments 14 and 16 being fixedly secured, in the closed orientation and one end of the housing 12 being closed by base 22. This non-accessibility is also due to the closure 100 not being able to pass through the retaining opening or aperture 55 in the retaining assembly 50. Also, as represented in
Additional structural and operative features of one or more preferred embodiments of the shield 10 include the provision of a latch assembly 40 fixedly mounted on or connected to the free longitudinal sides of each of the two housing segments 14 and 16. Moreover, the latch assembly 40 is at least partially disposed on the exterior of the housing 12 and comprises one or more cooperatively structured latch structures 42 and 44, which serve to retain the two housing segments 14 and 16 in the closed orientation. Similarly, latch assembly 40 may also include oppositely disposed latch structures 42′ and 44′ disposed adjacent an end of the housing 12 opposite to the access opening 20.
In more specific terms, latch structure 42 comprises an outwardly extending finger which may have a hook or other type of retaining configuration disposed dimensioned and configured to pass through latch structure 44 in the form of a receiving aperture. Also, an outwardly extending border or like structure 46 is disposed in overlying at least partially covering relation to the latch structures 42 and 44, when disposed in mating, latched relation to one another. The protective border 46 is disposed and structured to restrict access to the latch structures 42 and 44, when in their latched engagement with one another. It is also to be noted that the latch structures 42 and 44 of the latch assembly 40 may be disposed at the substantially opposite end of the housing 12 relative to the first and second lock members 26 and 28 of the lock assembly 25. Such a spaced relation therebetween provides an increased leverage which facilitates maintenance of the housing 12 fixedly secured in the closed orientation.
Therefore, one or more preferred embodiments of the shield 10 includes both the interior, non-accessible lock assembly 25, as described above, as well as the provision of an additional latch assembly 40. Moreover, the latch assembly 40 is structured to independently restrict opening or separation of the two housing segments 14 and 16 into the open orientation once disposed in the closed orientation.
Since many modifications, variations and changes in detail can be made to the described preferred embodiment of the invention, it is intended that all matters in the foregoing description and shown in the accompanying drawings be interpreted as illustrative and not in a limiting sense. Thus, the scope of the invention should be determined by the appended claims and their legal equivalents.
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